This inspection took place on 17 January 2017 and was unannounced. The inspection was to check that the registered provider was now meeting legal requirements we had identified at the last inspection on 29 October 2015. We asked the registered provider to take action to improve: safe care and treatment; and nutritional and hydration needs.

During this inspection we found that the registered provider had taken action to improve practices within the service in line with their action plan from February 2016. We found these improvements were sufficient to meet the requirements of Regulation 12 and 14. This meant the service had met the breaches of regulation imposed at the previous inspection.

North Ferriby Nursing Home is located in the village of North Ferriby, in the East Riding of Yorkshire. The service provides accommodation, nursing care and residential care for 38 people over the age of 18 who may have a physical disability, a condition related to old age or who are living with dementia. At the time of our inspection there were 31 people using the service.

The registered provider is required to have a registered manager in post and there was a registered manager at this service. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us that they felt safe living at the home. We found that staff had a good knowledge of how to keep people safe from harm and that there were enough staff to meet people’s needs. Staff had been employed following appropriate recruitment and selection processes. People received their medicines on time and as prescribed by their GP.

People had their health and social care needs assessed and plans of care were developed to guide staff in how to support people. The plans of care were individualised to include preferences, likes and dislikes. People who used the service received additional care and treatment from health professionals based in the community.

People spoken with said staff were caring and they were happy with the care they received. They had access to community facilities and most participated in the activities provided in the service.

Staff received a range of training opportunities and told us they were supported so they could deliver effective care; this included staff supervision, appraisals and staff meetings.

The registered manager monitored the quality of the service, supported the staff team and ensured that people who used the service were able to make suggestions and raise concerns.

This inspection took place on 17 January 2017 and was unannounced. The inspection was to check that the registered provider was now meeting legal requirements we had identified at the last inspection on 29 October 2015. We asked the registered provider to take action to improve: safe care and treatment; and nutritional and hydration needs.

During this inspection we found that the registered provider had taken action to improve practices within the service in line with their action plan from February 2016. We found these improvements were sufficient to meet the requirements of Regulation 12 and 14. This meant the service had met the breaches of regulation imposed at the previous inspection.

North Ferriby Nursing Home is located in the village of North Ferriby, in the East Riding of Yorkshire. The service provides accommodation, nursing care and residential care for 38 people over the age of 18 who may have a physical disability, a condition related to old age or who are living with dementia. At the time of our inspection there were 31 people using the service.

The registered provider is required to have a registered manager in post and there was a registered manager at this service. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us that they felt safe living at the home. We found that staff had a good knowledge of how to keep people safe from harm and that there were enough staff to meet people’s needs. Staff had been employed following appropriate recruitment and selection processes. People received their medicines on time and as prescribed by their GP.

People had their health and social care needs assessed and plans of care were developed to guide staff in how to support people. The plans of care were individualised to include preferences, likes and dislikes. People who used the service received additional care and treatment from health professionals based in the community.

People spoken with said staff were caring and they were happy with the care they received. They had access to community facilities and most participated in the activities provided in the service.

Staff received a range of training opportunities and told us they were supported so they could deliver effective care; this included staff supervision, appraisals and staff meetings.

The registered manager monitored the quality of the service, supported the staff team and ensured that people who used the service were able to make suggestions and raise concerns.

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time.

We spoke with the registered person, the manager, two nurses, two people who lived at the home on a permanent basis, one person who was having respite care at the home and a relative as part of this inspection.

People told us that they received the support they needed, both from nursing staff, care staff and ancillary staff. One person told us, “Overall, the care is good. This more or less feels like home”. People told us that they knew who to speak to if they had any concerns.

People told us that they felt safe living at the home. Records evidenced that staff had completed training on safeguarding adults from abuse and that they were completing refresher training. The staff who we spoke with displayed a good understanding of the different types of abuse and the action they needed to take if they witnessed poor practice.

Staff were recruited in a way that ensured only people who were considered safe to work with vulnerable adults were employed. Staff rotas showed that sufficient numbers of staff were employed and staff told us that staffing levels were maintained most of the time.

There were quality monitoring systems in place that gave people the opportunity to comment on the service they received.

People who used the service told us that they enjoyed living in the home. People said “The care we receive is very good. We can talk to the staff about our care and treatment and they listen to our opinions and respect our wishes.”

People told us that the meals provided at the service offered them lots of choice and variety. People said they enjoyed living in the home and the staff were friendly and supportive.

People said that they had good access to outside healthcare professionals and they were satisfied with the level of medical support given to them. They said staff were good at giving them their medication on time and when they needed it.

People understood about safeguarding of adults and told us that they felt safe within the service. They told us there was an open door policy within the service which worked well and they were confident of using the complaints system if they needed to.